scholarly journals A Prosthetic Alternative Treatment for Severe Anterior Ridge Defect using Fixed Removable Partial Denture Andrew's Bar System

2013 ◽  
Vol 4 (4) ◽  
pp. 282-285
Author(s):  
Ashish R Jain

ABSTRACT It has been well documented that anterior ridge defects present in a patient are very difficult to treat properly. These defects have been treated with great amount of planning and complexities while using the conventional treatment approaches like removable or fixed prosthesis and options of implant. Though totally implant-supported restorations are very successful, dentists may resort to prescribe implant overdentures because of functional, anatomical economical or esthetic considerations. However, the loading conditions of the partially implant- supported overdenture may affect the long-term predictability of this type of restoration. The concept of the Andrew's bar system can be utilized. In some cases the Andrew's bar system is superior to the implant-supported fixed partial denture and other techniques for implant overdentures. The purpose of this article is to evaluate and describe the Andrew's bar system (a fixed removable partial denture), to treat a class III anterior ridge defect using natural teeth as abutments for its fixed component followed a removable component. The use of Andrew's bar system over implants offered the dentist another option in meeting patient's needs. How to cite this article Jain AR.A Prosthetic Alternative Treatment for Severe Anterior Ridge Defect using Fixed Removable Partial Denture Andrew's Bar System. World J Dent 2013;4(4):282-285.

2014 ◽  
Vol 02 (01) ◽  
pp. 030-035
Author(s):  
Ambika Shrivastav ◽  
Siddarth Gupta

AbstractRehabilitation of patients with deficient Seibert's Class-III ridge mandibular ridge is always a challenge for a dentist. This article discusses the problems faced while rehabilitating such cases and also discusses the surgical and prosthetic management of one such case. A ridge augmentation procedure called as “Roll on Technique” was used to correct the contour of the ride. Fixed partial denture with altered framework design and tissue colored porcelain was used to complete the case. These simple but effective changes helped to give predictable esthetics with illusion of natural teeth.


2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Mohammed Sayed ◽  
Honey Lunkad ◽  
Carlos Alberto Jurado ◽  
Akimasa Tsujimoto ◽  
Walaa Magdy Ahmed

Objective: The study aims to evaluate the emotional, behavioural, and social effects of single or multiple anterior tooth loss. It also compares the effectiveness of the removable and fixed prosthesis to address the impact of anterior tooth loss. Material and Methods: The study was carried out on 70 subjects who presented to the Department of Prosthetic Dental Sciences. A questionnaire was distributed and the data were statistically analyzed using SPSS version 18.0 and values less than 0.05 % were considered statistically significant. Results: The participant’s difficulty to accept loss of their anterior tooth, embarrassment and confidence were changed significantly after wearing the prosthesis (P< 0.05). Moreover, fixed partial denture had more effect than removal partial denture. It was claimed by 62.9% of the participants that they were not prepared for the effect of tooth loss and 47.1% of them thought that a prior explanation from the dentist would have helped them overcome their fear of losing their teeth. Conclusion: The maximum impact of anterior tooth loss was felt on confidence followed by embarrassment. The participants felt more comfortable after wearing their prosthesis. Fixed partial denture had more effect than removable partial denture. Keywords Emotional; Behavioral; Social; Anterior tooth loss. Keywords Emotional; Behavioral; Social; Anterior tooth loss.


2020 ◽  
Vol 9 (35) ◽  
pp. 32-39
Author(s):  
Ianca Zany Nunes Corrêa ◽  
Erika Akiko Moura Shiota ◽  
Ely Moacyr De Souza Portela ◽  
Gabriel Garcia Bardales ◽  
Francisco Pantoja Braga ◽  
...  

Immediate complete denture (ICD) is a mucosa-supported prosthesis manufactured before the removal of natural teeth and installed soon after their extraction. This paper aims to describe a clinical case of oral rehabilitation with upper ICD and lower removable partial denture (RPD). A 57-year-old female patient sought treatment with dissatisfaction with her aesthetics and mobility of the upper teeth. After anamnesis, intra and extra-oral examinations, radiographic examination and analysis of study models mounted on a semi-adjustable articulator, periodontal pockets were found in the upper teeth and extensive bone loss. So, upper tooth extraction, superior ICD and lower RPD were indicated as treatment. For ICD preparation, anatomical and functional moldings were made, made up of orientation and intermaxillary relationship plans for the assembly of the semi-djustable articulator models. The remaining upper teeth were removed from the model for assembly of the artificial teeth and the ICD was polymerized and polished. The lower RPD was made following the standard steps. After dentures manufacturing, the surgery for upper tooth extraction was performed and prostheses installed immediately after surgery. The results demonstrated that the performed treatment provided aesthetic, phonetic, and functional restoration to the patient avoiding her to undergo a period of edentulism. It was concluded that ICD is a good indication for prosthetic rehabilitation of patients with advanced periodontitis, whose planning is the exodontia of all the teeth of an arch.


2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Arthi Ambayiram ◽  
Ahila Singaravel Chidembaranathan ◽  
Muthukumar Balasubramanium

2017 ◽  
Vol 52 (4) ◽  
pp. 270
Author(s):  
Okti Setyowati ◽  
Endang Kusdarjanti

The making of removable denture is performed by a dental laboratory. To facilitate the identification, according to Kennedy classification, classes are divided onto groups, the Kennedy class I, II, III and IV. To suit with the needs of the dental laboratory tasks commonly done, priority are necessary for common cases and should to be taught to students of Dental Health Technology Diploma. In Surabaya, research of various cases of removable partial denture with the various Kennedy classifications has never been done before. This study was to analyze the pattern of service for the removable partial denture manufacture in dental laboratory at Surabaya (2011 – 2013). The research is an observatory analytic. The population is all dental laboratories located around the campus of the Faculty of Dentistry Airlangga University Surabaya. The sample was the whole population is willing to become respondents. Sampling by total sampling. The method of collecting data using secondary data from a dental laboratory in Surabaya from 2011 until 2013. The note is cases removable denture according to the classification of Kennedy that Kennedy Class I, II, III and IV. Also of note kinds of materials used to make the denture base that is heat cured acrylic resins, thermoplastic resins and metals coherent. The data is a compilation table charting the frequency until needed, then analyzed using cross tabulation. Mostly denture type is flexible type and the least is metal framework. Most cases by classification Kennedy is followed by class II class III and class II and more recently is the fourth. In conclusion, in 2011 and 2013 the manufacture of removable partial dentures according to the classification of Kennedy Class III is the most common in both the upper arch and lower jaw, followed by Class II, Class I and Class IV. In 2012 which is the highest grade III followed by class II, class IV and class I. The denture type most used is a flexible denture, followed acrylic denture and the last is the metal framework.


2015 ◽  
Vol 5 (1) ◽  
pp. 15-20
Author(s):  
Md Ali Afzal Khan ◽  
Mahabubur Rahman ◽  
Kazi Ziaul Islam ◽  
Newaz Mohsina ◽  
Md Ashif Iqbal ◽  
...  

The aim of this study is to compare the tissue response between the ridgelap pontic and modified ridgelap pontic. Total patients were 40. The fixed prosthesis were cemented by temporary cementing material. After providing the treatment, instruction on maintenance of prosthesis. Patients were visited and studied after 6 weeks, 12 weeks and 6 months to observe the condition of tissue response beneath pontic. The following necessary data were collected in respect of the condition of tissue beneath the pontic, color of gingiva. The modified ridgelap pontic is better than ridgelap pontic regarding tissue response. The tissue response with the ridgelap surface of the pontic of fixed partial denture in 1st molar missing tooth enhanced the condition of the mucous membrane beneath the tissue surface of the pontic, condition of the abutment tooth, between ridge surface of the pontic and mucosa overlying the edentulous ridge achieved better success regarding fixed partial denture.Update Dent. Coll. j: 2015; 5 (1): 15-20


Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.


2016 ◽  
Vol 10 (02) ◽  
pp. 250-253 ◽  
Author(s):  
Ghada Hassan Geiballa ◽  
Neamat Hassan Abubakr ◽  
Yahia Eltayib Ibrahim

ABSTRACT Objectives: The aims of this study were to evaluate patient satisfaction with fixed prosthesis following placement and to assess the oral health and oral hygiene practices awareness by survey questionnaire. Materials and Methods: One hundred and ninety-two questionnaires were filled by patients wearing fixed prosthesis; the questionnaire included the subjective perception of treatment with fixed prosthesis, patients’ perception of clinical outcome, regarding esthetics, masticatory function, speech, and together patient's attitude toward oral hygiene measures. Results: Results showed that 84% of the patients were satisfied with their fixed prosthesis, while only 46.4% of patients were satisfied with the chewing ability. In concern, with esthetic outcome, 80% of patients showed that they were satisfied with the esthetic. The results showed that a high significantly number of patients did not use any form of interdental aids’ to clean their fixed prosthesis (94%). The main reason for not using any dental aids’ (91.1%) was a lack of post fixed prosthodontics instructions and not been informed by the dentist. Conclusion: High percentages of patients were satisfied with their fixed prosthesis. The most important finding of this study was that majority of patients showed a lack of knowledge regarding post fixed prosthodontics instructions and the significance of maintenance of fixed prosthesis using dental aids’. Of particular concern was the majority of dentists did not pay attention to the post treatment instructions concerning the maintenance of fixed prosthesis.


2004 ◽  
Vol 91 (4) ◽  
pp. 392-394 ◽  
Author(s):  
Masanori Fujisawa ◽  
Koji Adachi ◽  
Shoko Tsuruta ◽  
Kanji Ishibashi

2017 ◽  
Vol 12 (4) ◽  
pp. 189-192
Author(s):  
Suraksha Shrestha ◽  
Sanjay Sah

Removable partial denture is a treatment option where fixed prosthesis is not indicated. Due to its esthetic problems in the anterior region various modifications have been designed for its fabrication. This article describes an esthetic alternative using a round rest distal depression clasp for maxillary anterior teeth abutment while restoring the missing teeth with a cast partial denture.


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